It is really easy. The Department of Health and Human Services (HHS) passed three new rules over the course of just four days in January, adding $9.1 billion of regulatory burden during the first month of the new year, a new report claims.

According to a study by the American Action Forum released on Friday, the 797 pages of new regulations will account for $9.1 billion in new costs, and mount up to 10.6 million hours of additional paperwork burden.

One of the major costs came from expansion of Medicaid, the State Children’s Health Insurance Program (SCHIP), and the state–based health insurance exchange programs — all mandated under the Affordable Care Act. The total price tag is $2.6 billion, the paperwork burden 518,432 hours. HHS has allowed 17 working days to submit comments on the 500 page overhaul of Medicaid and SCHIP.

The other two rules come from the Food and Drug Administration (FDA). Their new rules for standard for harvesting and holding produce for humans to consume, is expected to cost $3.2 billion over a 7 year period, adding another 8.8 billion hours of paperwork.

The other FDA ruling is to standardize and modernize manufacturing practices and analysis for “hazardous food” which will cost between $2.2 billion to $3.3 billion. The paperwork burden is not a joke. These two FDA rulings would require 5,005 employees dedicated strictly to red tape compliance.